Joint Commission Online - Nov. 17, 2021
Joint Commission Online is The Joint Commission's weekly newsletter and is posted every Wednesday.
November 17, 2021
The Joint Commission considers addressing health care disparities a quality and patient safety imperative, as well as a moral and ethical duty. Our enterprise’s mission to continuously improve health care commits us to finding solutions to these inequities.
A new issue of Sentinel Event Alert — “Issue 64: Addressing health care disparities by improving quality and safety” — summarizes strategies for health care and human services organizations in all settings as they begin to address health care disparities. The alert also provides examples of successful initiatives for organizations that are well on their way. This alert can guide organizations as they address disparities as a central part of performance and patient safety improvement and hardwire the pursuit of health equity into their strategic planning.
“Disparities in health care is one of the most studied and researched problems; there are overwhelming evidence and persistence of gaps in virtually all areas of health care,” said Dr. Ana McKee, Executive Vice President, Chief Medical Officer and Chief Diversity and Inclusion Officer, The Joint Commission. “This is a problem that is a major patient safety issue; it provides and introduces as much risk of harm as a central line infection or a fall. We encourage all organizations to address disparities as a patient safety concern.”
Read the alert.
November 17, 2021
There is still time to register to attend the Bernard J. Tyson National Award for Excellence in Pursuit of Healthcare Equity online ceremony at 11 a.m. CT on Friday, Nov. 19.
The Joint Commission and Kaiser Permanente recognized UMass Memorial Health as the inaugural recipient of the for its initiative, “Prioritizing Child Health: Promoting Adherence to Well-Child Visits.” UMass Memorial Health’s efforts dramatically improved adherence to well-child visits among pediatric patients who identify as Black (59% to 75%) and patients who identify as Latinx (64% to 76%). UMass Memorial Health’s results also showed reduced disparities in adherence between patients identifying as white and those identifying as Latino or Black. The health system’s application was notable in its use of data to support its goals and results.
The Tyson Award honors the late Kaiser Permanente chairman and CEO’s memory by recognizing extraordinary efforts made by health care organizations to improve health care disparities, with the goal of inspiring other health care organizations to act against inequity.
The ceremony also will acknowledge the top finalists and all organizations that submitted applications in 2021.
November 17, 2021
The Joint Commission provides performance measure dashboards for specific accreditation settings. These dashboards identify important quality targets and assist organizations in seeing where their performance lags and leads. As national performance improvement opportunities are identified, webinars are held to target those needs and facilitate improvement in health care organizations.
In the first three quarters of 2021, a series of webinars were held on targeted topics, with high-performing sites sharing their best practices and lessons learned for achieving and sustaining their impressive outcomes. The Joint Commission would like to recognize these organizations for sharing their stories during the following webinars:
- OME (Hospice): Comprehensive Pain Assessment
- AAdi Home Health & Hospice – Corpus Christi, Texas
- Tomah Health – Tomah, Wisconsin
- ASC: Colonoscopy Interval for High-Risk Patients
- Bluffton Okatie Surgery Center – Okatie, South Carolina
- Melbourne GI Center – Melbourne, Florida
- NCC: Antipsychotic Medication Use
- Oneida Nursing & Rehab Center – Oneida, Tennessee
- Fall River Jewish Home – Fall River, Massachusetts
- HAP: Clostridium difficile (C. diff) Intestinal Infections
- Davie Medical Center – Bermuda Run, North Carolina
- Mercy Health–Defiance Hospital – Defiance, Ohio
- OME (Home Health Care): Wound Improvement
- Integris Home Care Enid – Enid, Oklahoma
- One at Home – Dade – Doral, Florida
View the webinars.
Additionally, The Joint Commission recognizes the following health care organizations that continue to partner with The Joint Commission as pilot test sites for the development of electronic clinical quality measures (eCQMs). This year’s contributions reflect the time and effort dedicated to abstract and clinically adjudicate patient-level data to evaluate the measure’s reliability and validity and inform the final draft measure specifications.
The ePC-07—Severe Obstetrics Complications measure pilot was conducted in the first three quarters of 2021. Despite the challenges of the ongoing pandemic, pilot sites participated in data collection, virtual feasibility, reliability, and validity measure testing. They were:
- Greater Baltimore Medical Center – Towson, Maryland
- Kaiser Permanente – San Diego, California
- Mercy Hospital of Folsom – Folsom, California
- Mercy San Juan Medical Center – Carmichael, California
- Novant Health – Winston-Salem, North Carolina
- Novant Health Brunswick Medical Center – Bolivia, North Carolina
- Novant Health Forsyth Medical Center – Winston-Salem, North Carolina
- Novant Health Huntersville Medical Center – Huntersville, North Carolina
- Novant Health Matthews Medical Center – Matthews, North Carolina
- Novant Health Mint Hill Medical Center – Mint Hill, North Carolina
- Novant Health Presbyterian Medical Center – Charlotte, North Carolina
- Novant Health Rowan Medical Center – Salisbury, North Carolina
- Novant Health Thomasville Medical Center – Thomasville, North Carolina
- Novant Health UVA Prince William Medical Center – Manassas, Virginia
- ProMedica Bay Park Hospital – Oregon, Ohio
- ProMedica Charles and Virginia Hickman Hospital – Adrian, Michigan
- ProMedica Coldwater Regional Hospital – Coldwater, Michigan
- ProMedica Defiance Regional Hospital – Defiance, Ohio
- ProMedica Flower Hospital – Sylvania, Ohio
- ProMedica Health System – Toledo, Ohio
- ProMedica Memorial Hospital – Fremont, Ohio
- ProMedica Monroe Regional Hospital – Monroe, Michigan
- ProMedica Toledo Hospital – Toledo, Ohio
- University of Chicago – Chicago, Illinois
- UPMC Magee-Womens Hospital – Pittsburgh, Pennsylvania
- The Valley Hospital – Ridgewood, New Jersey
- Woman’s Hospital – Baton Rouge, Louisiana
- Women & Infants Hospital of Rhode Island – Providence, Rhode Island
The Joint Commission seeks eCQM success stories, tips, and strategies from its accredited hospitals and health systems to advance quality improvement as part of its Pioneers in Quality® Proven Practices program. Early in 2020, a call was issued for such noteworthy practices. But due to the continuing challenges of the national pandemic and ongoing impact on accredited organizations, the program continues to be on hold for 2021. However, The Joint Commission wants to recognize several organizations that submitted practices for consideration in 2020 and commend them for their efforts to improve their use of data to improve quality and patient safety. They are:
- AtlantiCare – Egg Harbor Township, New Jersey
- BayCare Health System – Clearwater, Florida
- Froedtert Hospital–Comprehensive Stroke Center – Milwaukee, Wisconsin
- Langley Porter Psychiatric Hospital and Clinics (LPPHC) – San Francisco, California
- Martin Luther King Jr. Community Hospital – Los Angeles, California
November 17, 2021
Quality in Nursing Center Care — New Performance Improvement Accreditation Standards: Before end-of-the year business sets in, we wanted to provide our accredited nursing care centers more details about revisions to Performance Improvement standards that will be effective Jan. 1, 2022, writes Gina Zimmermann, Executive Director, Nursing Care Centers and Assisted Living Centers.